NPIMap

Individual provider Active NPI

Jennifer Nicole Shehan, MD

  • Otolaryngology Physician
  • Boston, MA
National Provider Identifier
1598269359
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
1019730 Issued in MA
Practice address
830 Harrison Avenue
Ste 1400
Boston, MA 02118
Phone
(617) 638-8124
Fax
(617) 414-4953
NPI assigned
Mar 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 1019730 MA
Otolaryngology Physician 207Y00000X 1019730 MA Primary

Addresses

Primary practice location

830 Harrison Avenue
Ste 1400
Boston, MA 02118

Mailing address

960 Massachusetts Ave
FL 2
Boston, MA 02118-2690
Phone (617) 414-5405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230808002691 CA Practitioner - Otolaryngology 9436408770
I20240723004047 MA Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 9436408770 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
University of Nebraska College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bumc Otolaryngologic Foundation IncGroup PAC ID 2163409400, 28 clinicians
Ear Nose and Throat Surgeons of Western New England LLCGroup PAC ID 5991746265, 16 clinicians
New England Ear Nose and Throat LLCGroup PAC ID 7618125931, 11 clinicians

Practice addresses (Care Compare)

1 Boston Medical Ctr PL
Boston, MA 02118-2908
Phone (617) 638-8485

100 Wason Ave
Suite 100
Springfield, MA 01107-1179
Phone (413) 233-2052

2000 Washington St
Mob White 544
Newton, MA 02462-1646
Phone (617) 910-0368

830 Harrison Ave
Suite 1400
Boston, MA 02118-2905
Phone (617) 638-8124

Hospital & facility affiliations

  • Boston Medical Center Hospital, Boston, MA, CCN 220031
  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101
  • Baystate Medical Center Hospital, Springfield, MA, CCN 220077

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1019730MAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Medical Center Corporation Current Accepting new patients
Beth Israel Lahey Health Specialty Care, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Winchester Physician Associates, Inc CurrentSince Oct 1, 2024 Accepting new patients
Ear, Nose & Throat Surgeons of Western New England, LLC Otolaryngology CurrentSince Dec 21, 2024 Accepting new patients
New England Ear Nose and Throat LLC Otolaryngology CurrentSince Aug 1, 2024 Accepting new patients
Bumc Otolaryngologic Foundation, Inc. Otolaryngology CurrentSince Oct 1, 2024 Accepting new patients

Locations

960 Massachusetts Ave
Ste 2
Boston, MA 02118

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

2000 Washington St
Ste 544
Newton Lower Falls, MA 02462
Phone (617) 910-0368

100 Wason Ave
Ste 100
Springfield, MA 01107
Phone (413) 233-2052

41 Highland Ave
Winchester, MA 01890
Phone (781) 756-2000

Interoperability endpoints

  • Direct secure messaging: jshehan131103@direct.bilh.masshiway.net
  • Direct secure messaging: jennifer.shehan.1@30149.direct.athenahealth.com
  • Direct secure messaging: jshehan108850@direct.bmc.masshiway.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1598269359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVE",
            "address_2": "FL 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182690",
            "telephone_number": "617-414-5405",
            "fax_number": "617-414-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 HARRISON AVENUE",
            "address_2": "STE 1400",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118",
            "telephone_number": "617-638-8124",
            "fax_number": "617-414-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEHAN",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-19",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "MA",
            "license": "1019730",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MA",
            "license": "1019730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.